| NPI | 1083834097 |
|---|---|
| Doing Business As | PRIME CARE PHYSICIANS, P.L.L.C. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WHALEN Director Of Administration 518-435-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 54964) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 54964) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 54964) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-03-28 |